Poly-IC enhances the effectiveness of cancer immunotherapy by promoting T cell tumor infiltration

Background Immunotherapies, such as immune checkpoint inhibitors and adoptive cell therapies, have revolutionized cancer treatment and resulted in complete and durable responses in some patients. Unfortunately, most immunotherapy treated patients still fail to respond. Absence of T cell infiltration...

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Main Authors: Juan Wu, Hussein Sultan, Esteban Celis, Andres M Salazar, Valentyna I Fesenkova, Aaron E Fan, Diane Addis
Format: Article
Language:English
Published: BMJ Publishing Group 2020-09-01
Series:Journal for ImmunoTherapy of Cancer
Online Access:https://jitc.bmj.com/content/8/2/e001224.full
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author Juan Wu
Hussein Sultan
Esteban Celis
Andres M Salazar
Valentyna I Fesenkova
Aaron E Fan
Diane Addis
author_facet Juan Wu
Hussein Sultan
Esteban Celis
Andres M Salazar
Valentyna I Fesenkova
Aaron E Fan
Diane Addis
author_sort Juan Wu
collection DOAJ
description Background Immunotherapies, such as immune checkpoint inhibitors and adoptive cell therapies, have revolutionized cancer treatment and resulted in complete and durable responses in some patients. Unfortunately, most immunotherapy treated patients still fail to respond. Absence of T cell infiltration to the tumor site is one of the major obstacles limiting immunotherapy efficacy against solid tumors. Thus, the development of strategies that enhance T cell infiltration and broaden the antitumor efficacy of immunotherapies is greatly needed.Methods We used mouse tumor models, genetically deficient mice and vascular endothelial cells (VECs) to study the requirements for T cell infiltration into tumors.Results A specific formulation of poly-IC, containing poly-lysine and carboxymethylcellulose (PICLC) facilitated the traffic and infiltration of effector CD8 T cells into the tumors that reduced tumor growth. Surprisingly, intratumoral injection of PICLC was significantly less effective in inducing tumor T cell infiltration and controlling growth of tumors as compared with systemic (intravenous or intramuscular) administration. Systemically administered PICLC, but not poly-IC stimulated tumor VECs via the double-stranded RNA cytoplasmic sensor MDA5, resulting in enhanced adhesion molecule expression and the production of type I interferon (IFN-I) and T cell recruiting chemokines. Expression of IFNαβ receptor in VECs was necessary to obtain the antitumor effects by PICLC and IFN-I was found to directly stimulate the secretion of T cell recruiting chemokines by VECs indicating that this cytokine-chemokine regulatory axis is crucial for recruiting effector T cells into the tumor parenchyma. Unexpectedly, these effects of PICLC were mostly observed in tumors and not in normal tissues.Conclusions These findings have strong implications for the improvement of all types of T cell-based immunotherapies for solid cancers. We predict that systemic administration of PICLC will improve immune checkpoint inhibitor therapy, adoptive cell therapies and therapeutic cancer vaccines.
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spelling doaj.art-c91662b1da7b4c998f54e878b2bc07932024-04-05T10:45:09ZengBMJ Publishing GroupJournal for ImmunoTherapy of Cancer2051-14262020-09-018210.1136/jitc-2020-001224Poly-IC enhances the effectiveness of cancer immunotherapy by promoting T cell tumor infiltrationJuan Wu0Hussein Sultan1Esteban Celis2Andres M Salazar3Valentyna I Fesenkova4Aaron E Fan5Diane Addis6attending dermatologistּ hsultan@augusta.eduAff483 grid.410427.40000000122849329Augusta University, Georgia Cancer Center Augusta GA USAOncovir, Inc, Washington, District of Columbia, USAGeorgia Cancer Center, Augusta University Medical College of Georgia, Augusta, Georgia, USAGeorgia Cancer Center, Augusta University Medical College of Georgia, Augusta, Georgia, USAGeorgia Cancer Center, Augusta University Medical College of Georgia, Augusta, Georgia, USABackground Immunotherapies, such as immune checkpoint inhibitors and adoptive cell therapies, have revolutionized cancer treatment and resulted in complete and durable responses in some patients. Unfortunately, most immunotherapy treated patients still fail to respond. Absence of T cell infiltration to the tumor site is one of the major obstacles limiting immunotherapy efficacy against solid tumors. Thus, the development of strategies that enhance T cell infiltration and broaden the antitumor efficacy of immunotherapies is greatly needed.Methods We used mouse tumor models, genetically deficient mice and vascular endothelial cells (VECs) to study the requirements for T cell infiltration into tumors.Results A specific formulation of poly-IC, containing poly-lysine and carboxymethylcellulose (PICLC) facilitated the traffic and infiltration of effector CD8 T cells into the tumors that reduced tumor growth. Surprisingly, intratumoral injection of PICLC was significantly less effective in inducing tumor T cell infiltration and controlling growth of tumors as compared with systemic (intravenous or intramuscular) administration. Systemically administered PICLC, but not poly-IC stimulated tumor VECs via the double-stranded RNA cytoplasmic sensor MDA5, resulting in enhanced adhesion molecule expression and the production of type I interferon (IFN-I) and T cell recruiting chemokines. Expression of IFNαβ receptor in VECs was necessary to obtain the antitumor effects by PICLC and IFN-I was found to directly stimulate the secretion of T cell recruiting chemokines by VECs indicating that this cytokine-chemokine regulatory axis is crucial for recruiting effector T cells into the tumor parenchyma. Unexpectedly, these effects of PICLC were mostly observed in tumors and not in normal tissues.Conclusions These findings have strong implications for the improvement of all types of T cell-based immunotherapies for solid cancers. We predict that systemic administration of PICLC will improve immune checkpoint inhibitor therapy, adoptive cell therapies and therapeutic cancer vaccines.https://jitc.bmj.com/content/8/2/e001224.full
spellingShingle Juan Wu
Hussein Sultan
Esteban Celis
Andres M Salazar
Valentyna I Fesenkova
Aaron E Fan
Diane Addis
Poly-IC enhances the effectiveness of cancer immunotherapy by promoting T cell tumor infiltration
Journal for ImmunoTherapy of Cancer
title Poly-IC enhances the effectiveness of cancer immunotherapy by promoting T cell tumor infiltration
title_full Poly-IC enhances the effectiveness of cancer immunotherapy by promoting T cell tumor infiltration
title_fullStr Poly-IC enhances the effectiveness of cancer immunotherapy by promoting T cell tumor infiltration
title_full_unstemmed Poly-IC enhances the effectiveness of cancer immunotherapy by promoting T cell tumor infiltration
title_short Poly-IC enhances the effectiveness of cancer immunotherapy by promoting T cell tumor infiltration
title_sort poly ic enhances the effectiveness of cancer immunotherapy by promoting t cell tumor infiltration
url https://jitc.bmj.com/content/8/2/e001224.full
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